在COPD患者的网络自我管理支持下,对身体活动水平的短期影响:一项随机对照试验
Tobias Stenlund1, Åsa Karlsson2, Per Liv3
1Department of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå University, Umeå, Sweden. tobias.stenlund@umu.se.
NPJ primary care respiratory medicine
|October 25, 2024
概括
一个基于网络的慢性阻塞性肺病 (COPD) 自主管理工具并没有显著增加所有参与者的体力活动 (PA). 然而,那些有完整数据的人在日常步骤中表现出有意义的改善.
科学领域:
- 肺部医学 肺部医学
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 慢性阻塞性肺病 (COPD) 管理通常涉及自我管理支持.
- 基于网络的干预方案为患者支持提供可扩展的解决方案.
- 身体活动 (PA) 对于COPD管理至关重要,但通常会下降.
研究的目的:
- 评估基于网络的自我管理支持工具对COPD患者客观测量的身体活动的短期影响.
- 将接受COPD网络工具的干预组 (IG) 与接受通常护理的对照组 (CG) 进行比较.
主要方法:
- 实用随机对照试验,涉及初级保健中稳定的COPD患者.
- 干预:访问COPD互动网站的互动网站,用于自我管理和PA重点.
- 主要结局:3个月后加速计测量的每日步数变化;次要结局:自我报告的PA,症状,生活质量.
主要成果:
- 治疗意图 (ITT) 分析显示,两组之间的每日步骤没有显著差异 (p=0.12).
- 完整的病例分析 (n=98) 显示IG的1492个步骤显著增加 (p=0.01).
- 在IG中通过ITT和完整案例分析观察到自我报告的PA显著增加.
结论:
- 仅仅访问COPD网络是不足以显著增加COPD总体受研究人口的短期体育活动.
- 在具有完整数据的参与者中观察到临床相关的每日步骤增加,这表明对一些个体有潜在的益处.
- COPD网络可能会提高某些COPD患者的PA水平,特别是那些坚持干预的人.
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